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Viagra usually starts working 30 60 minutes after taking a 50-milligram (mg) dose. It can then last for about 4 6 hours before the effects start to wear off. It can then last for about 4 6 real viagra for sale canada A consistent inability to sustain an erection sufficient for sexual intercourse. Also commonly known as impotence. Medically, the term erectile dysfunction is used to differentiate impotence from other problems that interfere with sexual intercourse Sildenafil (Viagra) is a medicine used to treat erectile dysfunction (ED, also called impotence). Sildenafil works by helping to relax the blood vessels in the penis, allowing more blood to flow in and cause an erection.